Iqbal Haider, Sana Ullah, K. Bibi, Hammad Naeem, Hamza M Ali, Wazir Mohammad Khan
Objectives: To determine the frequency of Escherichia coli (E. Coli) with multi-drug resistance and sensitivity to oral Fosfomycin in urinary tract infections in a public sector hospital of Peshawar Pakistan. Material and Methods: A descriptive cross-sectional study with a convenient consecutive sampling technique at the Department of Medicine Khyber Teaching Hospital Peshawar. A total of 179 patients were recruited in the current study. Detailed history and examination were carried out followed by routine baseline investigations. Under rigorous aseptic settings, two clean midstream urine samples from patients exhibiting symptoms of a urinary tract infection were collected. These samples were then promptly transferred to the hospital laboratory for routine evaluation and E.Coli inoculation on culture media. Once E.Coli was detected, it was tested for antibiotic sensitivity and resistance against the antibiotics mentioned. The multi-drug resistant (MDR) strains were isolated and their sensitivity was checked against oral fosfomycin. All the variables of data were recorded in SPSS version 20. Descriptive and inferential statistics will be utilized to elaborate study findings. Results: The mean age in this study was 37 years with a standard deviation was ±11.27.Seventy-three (41%) patients were males and 106 (59%) patients were females. One hundred and eleven (62%) patients had multidrug-resistant E.Coli among which oral Fosfomycin was sensitive in 108(97%) patients and was resistant in 3(3%) patients presenting with urinary tract infection. Conclusion: The multidrug-resistant E. coli strains are common in our setup. However, oral fosfomycin has documented sensitivity against these MDR strains of E. coli in the majority of UTI cases. Keywords: Multidrug-resistant Escherichia coli, Drug Sensitivity, Fosfomycin, urinary tract infection
{"title":"MULTI-DRUG RESISTANT ESCHERICHIA COLI AND THEIR SENSITIVITY TO ORAL FOSFOMYCIN IN URINARY TRACT INFECTIONS: A SINGLE-CENTER EXPERIENCE","authors":"Iqbal Haider, Sana Ullah, K. Bibi, Hammad Naeem, Hamza M Ali, Wazir Mohammad Khan","doi":"10.52764/jms.23.31.2.1","DOIUrl":"https://doi.org/10.52764/jms.23.31.2.1","url":null,"abstract":"Objectives: To determine the frequency of Escherichia coli (E. Coli) with multi-drug resistance and sensitivity to oral Fosfomycin in urinary tract infections in a public sector hospital of Peshawar Pakistan.\u0000Material and Methods: A descriptive cross-sectional study with a convenient consecutive sampling technique at the Department of Medicine Khyber Teaching Hospital Peshawar. A total of 179 patients were recruited in the current study. Detailed history and examination were carried out followed by routine baseline investigations. Under rigorous aseptic settings, two clean midstream urine samples from patients exhibiting symptoms of a urinary tract infection were collected. These samples were then promptly transferred to the hospital laboratory for routine evaluation and E.Coli inoculation on culture media. Once E.Coli was detected, it was tested for antibiotic sensitivity and resistance against the antibiotics mentioned. The multi-drug resistant (MDR) strains were isolated and their sensitivity was checked against oral fosfomycin. All the variables of data were recorded in SPSS version 20. Descriptive and inferential statistics will be utilized to elaborate study findings. \u0000Results: The mean age in this study was 37 years with a standard deviation was ±11.27.Seventy-three (41%) patients were males and 106 (59%) patients were females. One hundred and eleven (62%) patients had multidrug-resistant E.Coli among which oral Fosfomycin was sensitive in 108(97%) patients and was resistant in 3(3%) patients presenting with urinary tract infection.\u0000Conclusion: The multidrug-resistant E. coli strains are common in our setup. However, oral fosfomycin has documented sensitivity against these MDR strains of E. coli in the majority of UTI cases. \u0000Keywords: Multidrug-resistant Escherichia coli, Drug Sensitivity, Fosfomycin, urinary tract infection","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47271625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Munir, Sabahat Amir, Farooq Ahmad, Usman Mehboob, Aqeel Muhammed
Objectives: The study aimed to assess the students’ perception of the educational environment in the pediatric unit of Khyber teaching hospital using Dundee Ready Educational Environment Measures (DREEM). Material and Methods: This cross-sectional, questionnaire-based study was conducted at the Department of Child Health Khyber Teaching Hospital Peshawar, Pakistan, from May to November 2019. The sample size included 220 students fourth-year students. The study instrument was the DREEM questionnaire, which has 50 items that assess five domains. There are 50 items with 5 subscales and the maximum score is 200. Descriptive statistics were used to calculate the mean and standard deviation of the DREEM and the five domains Results: Of the 220 Students, 100 completed the questionnaire, resulting in a response rate of 45%. The total DREEM score was 113.14/200 (56.57%). The results showed that student’s perception of their learning environment was 27.31/48 (56.89%), the perception of teachers was 25.45/44 (57.84%), self-perception of their academics was 18.97/32 (59.28%), their perception of the atmosphere was 27.7/48 (57.7%), and social self-perception was 13.7/28 (48.96%). Conclusion: The study found that the atmosphere in the pediatric ward of Khyber Teaching Hospital was perceived positively by the students. However, the total DREEM score and points in the subdomains did not fall in the excellent category and remained one step below the highest rank. Therefore, there is room for improvement in the educational climate at the pediatric ward of Khyber Teaching Hospital. Keywords: Dundee Ready Educational Environment Measures (DREEM), educational environment measures.
{"title":"PERCEPTION OF FOURTH-YEAR MEDICAL STUDENTS REGARDING THEIR EDUCATIONAL ENVIRONMENT IN THE PEDIATRIC UNIT OF KHYBER TEACHING HOSPITAL","authors":"A. Munir, Sabahat Amir, Farooq Ahmad, Usman Mehboob, Aqeel Muhammed","doi":"10.52764/jms.23.31.2.3","DOIUrl":"https://doi.org/10.52764/jms.23.31.2.3","url":null,"abstract":"Objectives: The study aimed to assess the students’ perception of the educational environment in the pediatric unit of Khyber teaching hospital using Dundee Ready Educational Environment Measures (DREEM).\u0000Material and Methods: This cross-sectional, questionnaire-based study was conducted at the Department of Child Health Khyber Teaching Hospital Peshawar, Pakistan, from May to November 2019. The sample size included 220 students fourth-year students. The study instrument was the DREEM questionnaire, which has 50 items that assess five domains. There are 50 items with 5 subscales and the maximum score is 200. Descriptive statistics were used to calculate the mean and standard deviation of the DREEM and the five domains\u0000Results: Of the 220 Students, 100 completed the questionnaire, resulting in a response rate of 45%. The total DREEM score was 113.14/200 (56.57%). The results showed that student’s perception of their learning environment was 27.31/48 (56.89%), the perception of teachers was 25.45/44 (57.84%), self-perception of their academics was 18.97/32 (59.28%), their perception of the atmosphere was 27.7/48 (57.7%), and social self-perception was 13.7/28 (48.96%).\u0000Conclusion: The study found that the atmosphere in the pediatric ward of Khyber Teaching Hospital was perceived positively by the students. However, the total DREEM score and points in the subdomains did not fall in the excellent category and remained one step below the highest rank. Therefore, there is room for improvement in the educational climate at the pediatric ward of Khyber Teaching Hospital.\u0000Keywords: Dundee Ready Educational Environment Measures (DREEM), educational environment measures.\u0000 ","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46385903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Rafique, Anum Rafique, Hafsa Bint Bilal, Izzah Nawaz, Mohab O. M. Ali
Objective: To find out the frequency of hereditary absence of palmaris longus and flexor digitorum superficialis tendons among individuals visiting physiotherapy clinics of 2 hospitals in Pakistan. Methods: This cross-sectional study was conducted in Government hospitals in twin cities (Islamabad and Rawalpindi), Pakistan from September 2018 to March 2019. For examination, a standardized clinical Schaeffer's test and three additional tests were used for the assessment of palmaris longus (PL), and a standardized simple, and the modified test was used for flexor digitorum superficialis (FDS). Data were analyzed by using SPSS 23. Results: Out of 619 individuals, 51.7% were men and 48.3% women were examined. The mean age of males was 33.4 years ± 14.5 and of females 35.9 years ± 13.4. Palmaris longus muscle was absent in 49.3% of participants with bilateral absence being more common. Unilateral absence of the PL muscle was found to be more in the left hand. Its absence in the left hand was found more common in females than in males (11.7% females, 9.1% males). This research showed agenesis of PL is gender dependent. (p< 0.05), and no association was found among the standard FDS and PL tendon test, that is r (617) =0.046, p= 0.249. Conclusion(s): The absence of palmaris longus muscle is more frequently found in women and in the left hand. Agenesis of FDS is rare in individuals and has no association with agenesis of palmaris longus. Keywords: Association, agenesis, humans, muscle, population.
{"title":"FREQUENCY OF THE AGENESIS OF PALMARIS LONGUS AND FLEXOR DIGITORUM SUPERFICIALIS TENDONS AMONG INDIVIDUALS","authors":"N. Rafique, Anum Rafique, Hafsa Bint Bilal, Izzah Nawaz, Mohab O. M. Ali","doi":"10.52764/jms.23.31.2.9","DOIUrl":"https://doi.org/10.52764/jms.23.31.2.9","url":null,"abstract":"Objective: To find out the frequency of hereditary absence of palmaris longus and flexor digitorum superficialis tendons among individuals visiting physiotherapy clinics of 2 hospitals in Pakistan.\u0000Methods: This cross-sectional study was conducted in Government hospitals in twin cities (Islamabad and Rawalpindi), Pakistan from September 2018 to March 2019. For examination, a standardized clinical Schaeffer's test and three additional tests were used for the assessment of palmaris longus (PL), and a standardized simple, and the modified test was used for flexor digitorum superficialis (FDS). Data were analyzed by using SPSS 23.\u0000Results: Out of 619 individuals, 51.7% were men and 48.3% women were examined. The mean age of males was 33.4 years ± 14.5 and of females 35.9 years ± 13.4. Palmaris longus muscle was absent in 49.3% of participants with bilateral absence being more common. Unilateral absence of the PL muscle was found to be more in the left hand. Its absence in the left hand was found more common in females than in males (11.7% females, 9.1% males). This research showed agenesis of PL is gender dependent. (p< 0.05), and no association was found among the standard FDS and PL tendon test, that is r (617) =0.046, p= 0.249.\u0000Conclusion(s): The absence of palmaris longus muscle is more frequently found in women and in the left hand. Agenesis of FDS is rare in individuals and has no association with agenesis of palmaris longus.\u0000Keywords: Association, agenesis, humans, muscle, population.\u0000 ","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48384742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: To determine the frequency of positive mycobacterial PCR technique in cerebrospinal fluid (CSF) in patients with suspected tuberculous meningitis. Materials and methods: A cross-sectional study was conducted in the Department of Medicine Khyber Teaching Peshawar KPK from June 2020 to June 2021 over patients above the age of 15 years having clinical suspicion of tuberculous meningitis with cerebrospinal fluid showing raised protein, increased lymphocytes, and low CSF sugar levels. After performing a lumbar puncture 2.5 ccs of CSF was collected in a special bottle and sent to the laboratory for detection of Mycobacterial Tuberculosis (MTB) DNA. Data were analyzed by SPSS version 26. Results were displayed in tables and graphs. Results: Out of the total 100 patients, 49 (49%) were male and 51 (51%) were female. The mean age of the patients was 47.16±16.5 years (16- 82 years). The mean CSF cell count was 626/ cm3, the CSF protein level was 188.5±87 gram/dl and the mean CSF glucose level was 46±10 mg/dl ranging from 30 to 66 mg/dl. Mycobacterial PCR was positive for mycobacterium DNA in 70% of patients and negative in 30% of patients. MTB PCR in cerebrospinal fluid showed a strong correlation with CSF protein levels (p-value <0.000) Conclusion: Due to the high prevalence of positive PCR for the detection of MTB, every patient with a lymphocytic predominant picture of CSF examination and high protein should undergo MTB PCR testing for Mycobacterium tuberculosis. KEYWORDS Mycobacterium tuberculosis, meningitis, polymerase chain reaction, cerebrospinal fluid
{"title":"THE DIAGNOSIS OF TUBERCULOUS MENINGITIS BY DETECTION OF MYCOBACTERIUM TUBERCULOSIS DNA IN CEREBROSPINAL FLUID USING PCR TECHNIQUE","authors":"Nizzam Uddin, Ghulam Abbas, A. Zar, A. Nabi","doi":"10.52764/jms.23.31.2.7","DOIUrl":"https://doi.org/10.52764/jms.23.31.2.7","url":null,"abstract":"Objective: To determine the frequency of positive mycobacterial PCR technique in cerebrospinal fluid (CSF) in patients with suspected tuberculous meningitis.\u0000Materials and methods: A cross-sectional study was conducted in the Department of Medicine Khyber Teaching Peshawar KPK from June 2020 to June 2021 over patients above the age of 15 years having clinical suspicion of tuberculous meningitis with cerebrospinal fluid showing raised protein, increased lymphocytes, and low CSF sugar levels. After performing a lumbar puncture 2.5 ccs of CSF was collected in a special bottle and sent to the laboratory for detection of Mycobacterial Tuberculosis (MTB) DNA. Data were analyzed by SPSS version 26. Results were displayed in tables and graphs.\u0000Results: Out of the total 100 patients, 49 (49%) were male and 51 (51%) were female. The mean age of the patients was 47.16±16.5 years (16- 82 years). The mean CSF cell count was 626/ cm3, the CSF protein level was 188.5±87 gram/dl and the mean CSF glucose level was 46±10 mg/dl ranging from 30 to 66 mg/dl. Mycobacterial PCR was positive for mycobacterium DNA in 70% of patients and negative in 30% of patients. MTB PCR in cerebrospinal fluid showed a strong correlation with CSF protein levels (p-value <0.000)\u0000Conclusion: Due to the high prevalence of positive PCR for the detection of MTB, every patient with a lymphocytic predominant picture of CSF examination and high protein should undergo MTB PCR testing for Mycobacterium tuberculosis.\u0000KEYWORDS\u0000Mycobacterium tuberculosis, meningitis, polymerase chain reaction, cerebrospinal fluid","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46165277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adeela Mustafa, Hasnain Azam, Sarmad Ayaz Khan, Hoor ul ain, Faryal Gul, M. Awais, -. Inayatullah
Abstract: Objective: To assess the quality and compare different brands of bottled drinking water with WHO standards. Methods: This is a cross sectional descriptive study conducted in Peshawar, Pakistan in 2022. 14 brands of bottled water was selected randomly and two samples of each brand were analyzed for physiochemical parameters in the laboratory of Khyber medical college. Results: In our results the physiochemical parameters such as colour, odor, taste, turbidity, chloride, nitrate, total solids, calcium and sulphate of all samples were found within the of WHO standards. Conclusion: Our study concluded that the bottled drinking water of different brands available in Peshawar city is physiochemically fit for consumption as all the parameter tested were within the permissible limits of WHO. Key words: Bottled water, Drinking water, WHO water quality standards, Physiochemical parameters
{"title":"CHEMICAL ANALYSIS OF DIFFERENT BRANDS OF BOTTLED WATER WITH WORLD HEALTH ORGANIZATION (WHO) STANDARDS","authors":"Adeela Mustafa, Hasnain Azam, Sarmad Ayaz Khan, Hoor ul ain, Faryal Gul, M. Awais, -. Inayatullah","doi":"10.52764/jms.23.31.2.13","DOIUrl":"https://doi.org/10.52764/jms.23.31.2.13","url":null,"abstract":"Abstract: \u0000Objective: To assess the quality and compare different brands of bottled drinking water with WHO standards. \u0000 Methods: This is a cross sectional descriptive study conducted in Peshawar, Pakistan in 2022. 14 brands of bottled water was selected randomly and two samples of each brand were analyzed for physiochemical parameters in the laboratory of Khyber medical college. \u0000Results: In our results the physiochemical parameters such as colour, odor, taste, turbidity, chloride, nitrate, total solids, calcium and sulphate of all samples were found within the of WHO standards. \u0000Conclusion: Our study concluded that the bottled drinking water of different brands available in Peshawar city is physiochemically fit for consumption as all the parameter tested were within the permissible limits of WHO. \u0000Key words: Bottled water, Drinking water, WHO water quality standards, Physiochemical parameters","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44850628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aqil Noor, Shaista Kanwal, Suleman Elahi Malik, Zafran Ullah, T. Ghaffar, K. Usman
OBJECTIVE: To determine the frequency of hyperuricemia in type 2 diabetes mellitus (T2DM) patients with BMI >23 kg/m2 MATERIALS AND METHODS: This descriptive study was conducted from February 2020 to September 2021. All patients with Type 2 Diabetes Mellitus (T2DM )with body mass index (BMI) >23 kg/m2 were assessed for hyperuricemia through Roche Cobas 6000 series C501 in MTI Hayatabad Medical Complex’s laboratory. RESULTS: Total number of patients was 300, out of which 60 % were males. The studied population has a mean age of 59 (SD =±7) years, mean systolic blood pressure was 151 (SD = ±17) mmHg, mean duration of T2DM was 13 (SD = ±4) years, mean HbA1c was 10.9 (SD = ±2.5) %, mean BMI was 28.8 (SD = ±3.1) kg/m2 and mean serum uric acid was 5.7 (SD=±1.3) mg/dl. The overall prevalence of Hyperuricemia was 47% (36.7 % males and 62.5% females). Of those with hyperuricemia, 73 % were also found to have hypertension. Results showed that patients with hyperuricemia belonged to older age, and have higher Systolic blood pressure, raised BMI, and HbA1c. The mean differences were considered statistically significant with a p-value < 0.05 by using an independent sample t-test. CONCLUSION: The current study demonstrated a higher prevalence of hyperuricemia in T2DM patients with BMI> 23 kg/m2. Patients with hyperuricemia had a higher mean HbA1c, higher mean BMI, and raised systolic component of blood pressure. KEY WORDS: BMI, Hyperuricemia, Hypertension, Type 2 diabetes mellitus, HbA1c
{"title":"FREQUENCY OF HYPERURICEMIA IN TYPE 2 DIABETES MELLITUS PATIENTS WITH BMI >23 KG/M2- STUDY AT A TERTIARY CARE HOSPITAL","authors":"Aqil Noor, Shaista Kanwal, Suleman Elahi Malik, Zafran Ullah, T. Ghaffar, K. Usman","doi":"10.52764/jms.23.31.2.4","DOIUrl":"https://doi.org/10.52764/jms.23.31.2.4","url":null,"abstract":"OBJECTIVE: To determine the frequency of hyperuricemia in type 2 diabetes mellitus (T2DM) patients with BMI >23 kg/m2\u0000MATERIALS AND METHODS: This descriptive study was conducted from February 2020 to September 2021. All patients with Type 2 Diabetes Mellitus (T2DM )with body mass index (BMI) >23 kg/m2 were assessed for hyperuricemia through Roche Cobas 6000 series C501 in MTI Hayatabad Medical Complex’s laboratory. \u0000RESULTS: Total number of patients was 300, out of which 60 % were males. The studied population has a mean age of 59 (SD =±7) years, mean systolic blood pressure was 151 (SD = ±17) mmHg, mean duration of T2DM was 13 (SD = ±4) years, mean HbA1c was 10.9 (SD = ±2.5) %, mean BMI was 28.8 (SD = ±3.1) kg/m2 and mean serum uric acid was 5.7 (SD=±1.3) mg/dl. The overall prevalence of Hyperuricemia was 47% (36.7 % males and 62.5% females). Of those with hyperuricemia, 73 % were also found to have hypertension. Results showed that patients with hyperuricemia belonged to older age, and have higher Systolic blood pressure, raised BMI, and HbA1c. The mean differences were considered statistically significant with a p-value < 0.05 by using an independent sample t-test.\u0000CONCLUSION: The current study demonstrated a higher prevalence of hyperuricemia in T2DM patients with BMI> 23 kg/m2. Patients with hyperuricemia had a higher mean HbA1c, higher mean BMI, and raised systolic component of blood pressure.\u0000KEY WORDS: BMI, Hyperuricemia, Hypertension, Type 2 diabetes mellitus, HbA1c","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48450391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: To examine the link of authoritarian parenting style and aggression among adolescents. Material and Methods: Data was collected from institutes (high school and intermediate colleges) located in Peshawar, Islamabad, and Rawalpindi. For the study, Parenting Authority Questionnaire (PAQ) and Buss and Perry Aggression Questionnaire (BPAQ) were used. For current study the sample (N=200) of boys (n=98) and girls (n=102). Results: The study findings indicated that both variables (authoritarian parenting style and aggression) significantly correlated in desirable direction (r =.23**). However, results showed the non-significant gender differences on both variables of the study. Conclusion: Findings highlighted that dominating, harsh and controlling parenting style (authoritarian) stimulated aggressive acts or behavior in youth which promoted more extreme cases in Pakistani society.
{"title":"A STUDY OF AUTHORITARIAN PARENTING STYLE AND AGGRESSION AMONG ADOLESCENTS","authors":"Saima Arzeen, Naeema Arzeen, Syed mubashar Shah","doi":"10.52764/jms.23.31.2.8","DOIUrl":"https://doi.org/10.52764/jms.23.31.2.8","url":null,"abstract":"Objective: To examine the link of authoritarian parenting style and aggression among adolescents. \u0000Material and Methods: Data was collected from institutes (high school and intermediate colleges) located in Peshawar, Islamabad, and Rawalpindi. For the study, Parenting Authority Questionnaire (PAQ) and Buss and Perry Aggression Questionnaire (BPAQ) were used. For current study the sample (N=200) of boys (n=98) and girls (n=102). \u0000Results: The study findings indicated that both variables (authoritarian parenting style and aggression) significantly correlated in desirable direction (r =.23**). However, results showed the non-significant gender differences on both variables of the study. \u0000Conclusion: Findings highlighted that dominating, harsh and controlling parenting style (authoritarian) stimulated aggressive acts or behavior in youth which promoted more extreme cases in Pakistani society.","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48579362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tayaba Mazhar, S. Rauf, Asma Ambareen, Shahnaz Nadir
Objective The study aimed to find the effect of 4 grams of intravenous bolus antenatal dose of magnesium Sulphate on maternal and neonatal outcomes in preterm births. Material and Methods In a one-year cross-sectional descriptive study, patients with active preterm labor or those with planned preterm birth at 28-34 weeks of gestation were included. Antenatal magnesium Sulphate was administered as a 4gm IV loading dose over 30 minutes. The data was analyzed with SPSS (version 20), where mean ± standard deviation was used for numerical variables and frequency and percentages for categorical variables. The sample size was 88. A P value <_0.05 is used as a threshold for statistical significance. Results The mean age of patients was 28.78 (± SD of 6.038) and the mean period of gestation remained 32.04 (±1.868). Similarly, the mean cervical dilatation at which magnesium Sulphate was given was 6.591 (±1.358), the mean baby’s weight was 1.655 (±0.508) kg, and the mean Apgar score at 5 minutes was recorded as 7.11 (±1.208). Regarding the period of gestation of the patients, 15 (17.04%) were at 28-30 weeks, 26 (29.54%) were at 30– 32 weeks and 47 (53.4%) were at 32– 34 weeks. Out of 88 patients, normal vaginal deliveries were conducted in 61 (69.38%) whereas, 27 (30.68%) patients had cesarean sections. Neonatal seizures were observed in 3 (2.6%), intraventricular hemorrhage in 2 (1.754%), Periventricular leukomalacia (PVL) 1(0.877%), and neonatal mortality in 5 (4.38%). Conclusion Magnesium Sulphate is a safe drug that plays an important role in protecting immature brains. Four-gram bolus is a sufficient dose as compared with infusion, which requires additional human resources and risks attached to prolonged infusions. Key Words: Magnesium Sulphate, Preterm Deliveries, Neonatal Neuroprotection, Intraventricular Hemorrhage
{"title":"THE EFFICACY AND SAFETY OF MAGNESIUM SULPHATE FOR NEONATAL NEUROPROTECTION IN PATIENTS WITH IMMINENT PRETERM DELIVERIES: EXPERIENCE AT A TERTIARY CARE HOSPITAL","authors":"Tayaba Mazhar, S. Rauf, Asma Ambareen, Shahnaz Nadir","doi":"10.52764/jms.23.31.2.10","DOIUrl":"https://doi.org/10.52764/jms.23.31.2.10","url":null,"abstract":"Objective\u0000The study aimed to find the effect of 4 grams of intravenous bolus antenatal dose of magnesium Sulphate on maternal and neonatal outcomes in preterm births.\u0000Material and Methods\u0000In a one-year cross-sectional descriptive study, patients with active preterm labor or those with planned preterm birth at 28-34 weeks of gestation were included. Antenatal magnesium Sulphate was administered as a 4gm IV loading dose over 30 minutes. The data was analyzed with SPSS (version 20), where mean ± standard deviation was used for numerical variables and frequency and percentages for categorical variables. The sample size was 88. A P value <_0.05 is used as a threshold for statistical significance.\u0000Results\u0000The mean age of patients was 28.78 (± SD of 6.038) and the mean period of gestation remained 32.04 (±1.868). Similarly, the mean cervical dilatation at which magnesium Sulphate was given was 6.591 (±1.358), the mean baby’s weight was 1.655 (±0.508) kg, and the mean Apgar score at 5 minutes was recorded as 7.11 (±1.208). Regarding the period of gestation of the patients, 15 (17.04%) were at 28-30 weeks, 26 (29.54%) were at 30– 32 weeks and 47 (53.4%) were at 32– 34 weeks. Out of 88 patients, normal vaginal deliveries were conducted in 61 (69.38%) whereas, 27 (30.68%) patients had cesarean sections.\u0000Neonatal seizures were observed in 3 (2.6%), intraventricular hemorrhage in 2 (1.754%), Periventricular leukomalacia (PVL) 1(0.877%), and neonatal mortality in 5 (4.38%).\u0000Conclusion\u0000Magnesium Sulphate is a safe drug that plays an important role in protecting immature brains. Four-gram bolus is a sufficient dose as compared with infusion, which requires additional human resources and risks attached to prolonged infusions.\u0000Key Words: Magnesium Sulphate, Preterm Deliveries, Neonatal Neuroprotection, Intraventricular Hemorrhage","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49086120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Idrees, M. Rehman, Sabahat Amir, M. I. Khan, M. Waqas, I. Rahman
Objective: To determine the diagnostic utility of mean platelet volume in patients presenting with early neonatal sepsis. Materials and methods: This validation study was conducted in the Department of the Pediatrics ward, Khyber Teaching Hospital, Peshawar. After seeking parental consent, a brief history of Neonatal Sepsis and co-morbidities was obtained. The patient's clinical record was reviewed for the presence of any of the conditions indicated in the exclusion criteria for this study. A questionnaire about the patient’s demographics, disease duration, and treatment records was compiled. Samples were taken and examined of such newborns with consent from the patient's guardians (n=322). 4 ml venous blood was collected from each subject. 2 ml was used for blood culture, and 2 ml was used for Mean Platelet Volume estimation each at hours 0, 24, and 48. Data was collected and analyzed using the SPPS 24. Results: A total of 322 newborns (154 males, 168 females) were enrolled. The Sepsis group as diagnosed by blood culture, had 201 cases while the control group had 121 participants. There was a significant difference (p-value less than 0.05) between the two groups for Mean Platelet Volume. The values for sensitivity, specificity, and negative and positive predictive values as compared to blood culture as the gold standard were 77.58, 55.31, 50.00, and 81.08 percent, respectively. Conclusion: The mean platelet volume has high diagnostic utility in patients with neonatal sepsis.
{"title":"THE DIAGNOSTIC UTILITY OF MEAN PLATELET VOLUME (MPV) IN PATIENTS WITH EARLY NEONATAL SEPSIS","authors":"M. Idrees, M. Rehman, Sabahat Amir, M. I. Khan, M. Waqas, I. Rahman","doi":"10.52764/jms.23.31.2.2","DOIUrl":"https://doi.org/10.52764/jms.23.31.2.2","url":null,"abstract":"Objective:\u0000To determine the diagnostic utility of mean platelet volume in patients presenting with early neonatal sepsis.\u0000Materials and methods:\u0000This validation study was conducted in the Department of the Pediatrics ward, Khyber Teaching Hospital, Peshawar. After seeking parental consent, a brief history of Neonatal Sepsis and co-morbidities was obtained. The patient's clinical record was reviewed for the presence of any of the conditions indicated in the exclusion criteria for this study. A questionnaire about the patient’s demographics, disease duration, and treatment records was compiled. Samples were taken and examined of such newborns with consent from the patient's guardians (n=322). 4 ml venous blood was collected from each subject. 2 ml was used for blood culture, and 2 ml was used for Mean Platelet Volume estimation each at hours 0, 24, and 48. Data was collected and analyzed using the SPPS 24.\u0000Results:\u0000A total of 322 newborns (154 males, 168 females) were enrolled. The Sepsis group as diagnosed by blood culture, had 201 cases while the control group had 121 participants. There was a significant difference (p-value less than 0.05) between the two groups for Mean Platelet Volume. The values for sensitivity, specificity, and negative and positive predictive values as compared to blood culture as the gold standard were 77.58, 55.31, 50.00, and 81.08 percent, respectively.\u0000Conclusion:\u0000The mean platelet volume has high diagnostic utility in patients with neonatal sepsis.\u0000 ","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45848230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Z. Khan, Rahim Dil Khan, Charagh Hussain, Tariq Nawaz, Yasir Hakeem, Hameed Ullah
OBJECTIVE: To determine the frequency of hypomagnesemia in patients with ventricular tachycardia. Materials and Methods: It is a descriptive Cross-Sectional study conducted in the Department of Cardiology, MTI-HMC, Peshawar from 20 Sept 2020 to 20 Mar 2021 after approval from the Institutional Ethical Committee. Patients were managed according to the guidelines and hospital protocol. After stabilization, the data was collected. Age, sex, address, patient’s history of diabetes, and hypertension were noted. Patients` serum was sent for serum electrolytes level and also serum magnesium level. Patients were labeled as hypomagnesemia and Hypokalemia as per operational definitions. RESULTS: The Mean and SDs for age were 57.52+9.155. The Mean and SDs for the serum level of potassium were 4.93+0.806. The Mean and SDs for the serum level of magnesium were 1.22+0.423. Thirty-four (18.4%) patients were recorded in the 35-50 years age group while 151 (81.6%) patients were recorded in the 51-72 years age group. 144 (77.8%) male patients and 41 (22.2%) female patients were recorded. Diabetes mellitus was present in 42 (22.7%). Hypertension was present in 37 (20.0%) patients. 9 (26.5%) patients had past five days’ history of diuretics usage. 18 (9.7%) patients were recorded with Hypokalemia. Ninety-eight (53.0%) patients were found to have hyperkalemia. A total of 185 patients admitted to the CCU of our hospital having ventricular tachycardia were included in this study, out of which 70 (37.8%) patients having ventricular tachycardia were recorded with hypomagnesemia. 19 (38.8%) patients with diuretics induced Ventricular Tachycardia had hypomagnesemia and while remaining 51 (37.5%) patients with ischemic Ventricular Tachycardia and VT-RVOT respectively were recorded with hypomagnesemia (P Value = 0.875) CONCLUSION: The data suggest that magnesium deficiency does occur in ventricular tachycardia with an increased incidence of cardiac arrhythmias. KEYWORDS: Cardiovascular Disease, Ventricular Tachycardia, Hypomagnesemia
{"title":"HYPOMAGNESEMIA CAUSING VENTRICULAR TACHYCARDIA IN PATIENTS PRESENTING TO A CORONARY CARE UNIT","authors":"Z. Khan, Rahim Dil Khan, Charagh Hussain, Tariq Nawaz, Yasir Hakeem, Hameed Ullah","doi":"10.52764/jms.23.31.2.5","DOIUrl":"https://doi.org/10.52764/jms.23.31.2.5","url":null,"abstract":"OBJECTIVE: To determine the frequency of hypomagnesemia in patients with ventricular tachycardia.\u0000Materials and Methods: It is a descriptive Cross-Sectional study conducted in the Department of Cardiology, MTI-HMC, Peshawar from 20 Sept 2020 to 20 Mar 2021 after approval from the Institutional Ethical Committee. Patients were managed according to the guidelines and hospital protocol. After stabilization, the data was collected. Age, sex, address, patient’s history of diabetes, and hypertension were noted. Patients` serum was sent for serum electrolytes level and also serum magnesium level. Patients were labeled as hypomagnesemia and Hypokalemia as per operational definitions.\u0000RESULTS: The Mean and SDs for age were 57.52+9.155. The Mean and SDs for the serum level of potassium were 4.93+0.806. The Mean and SDs for the serum level of magnesium were 1.22+0.423. Thirty-four (18.4%) patients were recorded in the 35-50 years age group while 151 (81.6%) patients were recorded in the 51-72 years age group. 144 (77.8%) male patients and 41 (22.2%) female patients were recorded. Diabetes mellitus was present in 42 (22.7%). Hypertension was present in 37 (20.0%) patients. 9 (26.5%) patients had past five days’ history of diuretics usage. 18 (9.7%) patients were recorded with Hypokalemia. Ninety-eight (53.0%) patients were found to have hyperkalemia. A total of 185 patients admitted to the CCU of our hospital having ventricular tachycardia were included in this study, out of which 70 (37.8%) patients having ventricular tachycardia were recorded with hypomagnesemia. 19 (38.8%) patients with diuretics induced Ventricular Tachycardia had hypomagnesemia and while remaining 51 (37.5%) patients with ischemic Ventricular Tachycardia and VT-RVOT respectively were recorded with hypomagnesemia (P Value = 0.875)\u0000CONCLUSION: The data suggest that magnesium deficiency does occur in ventricular tachycardia with an increased incidence of cardiac arrhythmias.\u0000KEYWORDS:\u0000Cardiovascular Disease, Ventricular Tachycardia, Hypomagnesemia","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42197035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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